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1. Introduction
2. Pain Relief Foundation
3. The Neuropathic Pain Special Interest Group
4. NPP definition
5. Neuropathic pain: classification
6. Shingles and PHN
7. PHN - Pain characteristics
8. Frequency of PHN after shingles
9. Histological changes in PHN
10. HZ example
11. CRPS type 1
12. CRPS type 2
13. CRPS symptoms - hands
14. Central pain
15. Central pain definition
16. Central pain due to brain damage
17. Central post stroke pain (CPSP)
18. Prevalence of CPSP
19. Spinal cord injury (SCI) (1)
20. Spinal cord injury (SCI) (2)
21. Traumatic SCI
22. Degenerative SCI
23. Spinal cord injury (SCI) (3)
24. Syringomyelia
25. Multiple sclerosis
26. Cancer
27. Trigeminal neuralgia: diagnostic criteria (1)
28. Trigeminal neuralgia: diagnostic criteria (2)
29. Epidemiology
30. Prevalence/incidence of neuropathic pain
31. Symptoms of neuropathic pain
32. Allodynia (1)
33. Diagnosing neuropathic pain
34. Quantitative sensory testing
35. Altered sensation
36. GPs are pivotal in NPP management
37. Allodynia (2)
38. Dysaesthesia
39. Hyperalgesia
40. Paraesthesia
41. Autonomic pain
42. Mechanisms of NPP
43. Central nervous system changes in NPP
44. Co-morbidity associated with peripheral NPP
45. Peripheral NPP drugs: NNT
46. Algorithm for NPP treatment
47. TCAD's - dosage
48. Other antidepressants
49. Anticonvulsants
50. Anticonvulsants - dosage
51. Cannabinoids
52. Withdrawal of treatment
53. Topicals
54. Topical Lidocaine - mode of operation
55. Only 50% relief achieved by 35% of patients
56. Neuropathic pain: unmet needs
57. Blocks/interventions
58. Neural blockade
59. Thermography of CPRS type 2 (1)
60. Thermography of CPRS type 2 (2)
61. Stimulation of A beta fibers can inhibit pain
62. Spinal cord stimulation (1)
63. Spinal cord stimulation (2)
64. Infusions and implants
65. The cone snail
66. Neurosurgical treatment of NPP
67. HZ and PHN - treatment
68. Painful diabetic neuropathy - treatment
69. Sciatica - treatment
70. FBSS (mixed conditions with NPP) - treatment
71. CRPS - treatment
72. Trigeminal neuralgia - treatment
73. Percutaneous interventions
74. Treatment of SCI
75. Treatment of CPSP
76. Summary

Topics Covered

• Neuropathic pain: definition and classification
• Shingles and Post Herpetic Neuralgia (PHN)
• Pain character
• Histological changes
• CRPS
• Brain damage
• Central post-stroke pain
• SCI: traumatic and degenerative
• Trigeminal neuralgia: diagnostic criteria
• Epidemiology
• Symptoms of neuropathic pain
• Allodynia
• Diagnosing neuropathic pain
• Quantitative sensory testing
• Altered sensation
• Localized symptoms
• Dysaesthesia
• Hyperalgesia
• Paraesthesia
• Hyperaesthesia
• Mechanisms
• Co-morbidity associated with peripheral neuropathic pain
• Algorithm for neuropathic pain treatment
• TCADs and other anti-depressants
• Anticonvulsants
• Cannabinoids
• Topicals
• Blocks/interventions
• Neural blockade
• Infusions and implants
• Neurosurgical
• Percutaneous interventions
• Positive drug trials in SCI

Links

Series:

• Pain and the Control of Pain

Categories:

• Clinical Practice
• Neuroscience

Therapeutic Areas:

• Neurology

Talk Citation

Publication History

• Published on June 30, 2009

Financial Disclosures

• Dr. Chris Wells has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.